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Title: Transvaginal ultrasound, uterine biopsy and hysteroscopy for postmenopausal bleeding
Authors: GiusaChiferi, M. G.
Goncalves, Wagner Jose [UNIFESP]
Baracat, E. C.
Neto, LCD
Bortoletto, CCR
de Lima, G. R.
Universidade Federal de São Paulo (UNIFESP)
Keywords: transvaginal ultrasound
endometrial biopsy
postmenopausal bleeding
Issue Date: 1-Oct-1996
Publisher: Elsevier B.V.
Citation: International Journal of Gynecology & Obstetrics. Clare: Elsevier Sci Ireland Ltd, v. 55, n. 1, p. 39-44, 1996.
Abstract: Objectives: To determine the importance of endometrial biopsy and transvaginal ultrasound in patients with postmenopausal bleeding. Methods: Eighty patients with postmenopausal bleeding were submitted to transvaginal ultrasound followed by endometrial biopsy. Hysteroscopy and dilatation and curettage were carried out to confirm normality of the uterine cavity. Results: the endometrial echo could be visualized in all patients with postmenopausal bleeding. the biopsy failed to detect one case (1.38%) of adenocarcinoma and 14 cases (17.5%) of endometrial polyps. the sensitivity in detecting endometrial malignancy was 94.44% for endometrial biopsy and 100% for transvaginal ultrasound, when the endometrial thickness was more than 8 mm. Conclusions: When the thickness of the endometrial echo is less than 3 mm there is no need for anatomopathologic investigation. When this limit was adopted, all cases were associated with endometrial atrophy, and when the limit was 4 mm or more, active endometria were detected, requiring further histopathologic investigation by hysteroscopy and directed biopsies. Above 8 mm, malignancy may be found.
ISSN: 0020-7292
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Appears in Collections:Em verificação - Geral

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